24D2213426 CLIA NUMBER - CHAMPIONS VILLAGE LLC

Laboratory Demographics

  • CLIA Code: 24D2213426
  • Facility Name: CHAMPIONS VILLAGE LLC
  • Facility Address: 7899 ALDEN WAY NE
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 612 817-5100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LALI Y. GALAN
  • NPI Number: 1457973273
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2213426
LAB Type Assisted Living Facility
Facility Name CHAMPIONS VILLAGE LLC
Street 7899 ALDEN WAY NE
City FRIDLEY
State MN
ZIP 55432
Phone 612 817-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Assisted Living Facility
Lab Director LALI Y. GALAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025